| NPI | 1760740187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 343322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 655166) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2018-07-17 |